Lust Cost Recovery Agreement - Oregon Department Of Environmental Quality Page 2
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2DEQ File No:____________________________
Either DEQ or you may terminate this agreement by giving 15 days advance written notice to the
other. Only those costs incurred or obligated by DEQ prior to the effective date of any
termination of the agreement shall be recoverable under this agreement. Termination of this
agreement will not affect any other right DEQ may have for recovery of costs under any
applicable law.
You will hold DEQ harmless for any claims (including but not limited to claims of property
damage or personal injury) arising from DEQ review and/or oversight activities under this
agreement.
This agreement is not and shall not be construed to be an admission by you of any liability under
ORS 465.255 or any other law or as a waiver by you of any defense to such liability. This
agreement is not and shall not be construed to be a waiver, release, or settlement of claims that
DEQ may have against you or any other responsible person nor is this agreement a waiver of any
enforcement authority that DEQ may have.
The DEQ Tanks Program will be responsible for the review and oversight of the investigation
and cleanup activities associated with the property. Please refer all site-specific inquiries to the
DEQ Regional Offices in Northwest Region – Portland, Western Region – Salem or Eastern
Region – Bend. For locations and phone numbers of the regional offices, please see the DEQ
Regional Office list at
All inquiries regarding cost recovery and/or invoices should be directed to Dawn Ismerio at 503-
229-5812.
If the terms of this agreement are acceptable, please have it executed by an authorized officer in
the space provided below. In order to more effectively schedule your project, please return this
agreement within 30 days of receipt to the regional office responsible for your site.
Accepted and agreed to this ________ day of _________________________, 20_____
By:___________________________________________________
Title:__________________________________________________
Please provide the following information as to where the invoices should be sent.
Individual Name:________________________________________
Title:__________________________________________________
Company Name:_________________________________________
Mail Address:___________________________________________
City, State, Zip:__________________________________________
Phone Number:__________________________________________
E-mail Address: _________________________________________
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Updated March 30, 2016
Page 2 of 2
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